What is an example of a Billing Workflow
  • 28 Jun 2024
  • 1 Minute to read
  • Dark
    Light
  • PDF

What is an example of a Billing Workflow

  • Dark
    Light
  • PDF

Article summary

  1. The Staff enters data into Staff Action Work Queue in PropelEHR throughout the week.
  2. The Biller runs the Billing Ruleset tests in the Staff Action - Billing Opportunities and checks the QC and combination checkers as well as performs a manual review of the data to identify any issues.
  3. The Biller emails the Services Director (MOS) to look at any identified issues that they may have found and asks the Director to make corrections as needed.
  4. The Services Director (MOS) makes the necessary corrections and runs the adjustment. If appropriate, they review the maximum units and combinations for Day Services only.
  5. The Services Director (MOS) sends the Biller an email when they are done with their updates, indicating “Billing is corrected for ___ program”.
  6. The Biller re-reviews the updated information (triggered by the email sent from the Services Director (MOS)) checking the QC and combination checkers and performing a manual review of the data.
  7. The Biller re-runs the Billing Ruleset tests on the changed items to establish the billable service.
  8. The Biller generates and saves all the billable items to an invoice.
  9. The Biller sends the invoice to Millinpro or some other 3rd party billing system and sends the appropriate items to eMedNy-EVV (when needed).

Was this article helpful?